Nursing home

Paradigm at First Colony

4710 Lexington Blvd, Missouri City, TX, 77459

CMS ownership records associate this facility with Paradigm Healthcare · For profit - Limited Liability company.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Paradigm at First Colony, with 41 inspection citations on record (8 higher severity). Federal records include $211,113 in the current dataset.
CMS overall
1
of 5
Health inspection
1
of 5
Staffing
1
of 5
Quality measures
3
of 5
Certified beds
150
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection1 of 5
Staffing1 of 5
Quality measures3 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Fort Bend Co. avg 2.67Texas avg 2.7This facility
This facility: 1 of 5. Fort Bend Co. avg: 2.67. Texas avg: 2.7.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

41
Citations on record
8
Higher severity (G–L)
34
From complaints
0
Infection control
Citations by inspection year
142023
222024
42025
12026
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

3 records · $211,113 total · Aug 15, 2023–Nov 27, 2024
  1. Nov 27, 2024$19,838
  2. Oct 24, 2024$44,721
  3. Aug 15, 2023$146,554

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)20.5%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)8.45%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)1.02%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Oakbend Medical Center5% OR GREATER DIRECT OWNERSHIP INTEREST
Freudenberger, JosephW-2 MANAGING EMPLOYEE
Beard, BarryCORPORATE DIRECTOR
Council, JeffCORPORATE DIRECTOR
Crayton, TomCORPORATE DIRECTOR
Martin, MelissaCORPORATE DIRECTOR
Mcclamroch, JamesCORPORATE DIRECTOR
Mefford, RuthanneCORPORATE DIRECTOR
Murray, MarkCORPORATE DIRECTOR
Petrosewicz, NormaCORPORATE DIRECTOR
Tape, MayCORPORATE DIRECTOR
Uthman, EdwardCORPORATE DIRECTOR
Freudenberger, JosephCORPORATE OFFICER
Ssc Missouri City Operating Company LLCOPERATIONAL/MANAGERIAL CONTROL

Nearby facilities

Other CMS-certified nursing homes near Fort Bend County.

4710 Lexington Blvd, Missouri City
Fort Bend County · TX · 77459
150 certified beds29.6009, -95.5800

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Avir at Beaumont
CCN 455001
Beaumont, TX121Shown$52,494
Avir at New Braunfels
CCN 455020
New Braunfels, TX112Not shown$147,263
Baylor Scott & White Continuing Care Hospital Skil
CCN 455069
Temple, TX555Not shown$0
Knopp Healthcare and Rehab Center Inc
CCN 455278
Fredericksburg, TX443Not shown$0
Sharpville Residence and Rehabilitation Center
CCN 455333
Houston, TX443Not shown$8,431
Legacy Nursing and Rehabilitation
CCN 455351
Bryan, TX222Not shown$12,375

Related research

Frequently asked questions

What is Paradigm at First Colony's CMS rating?

Paradigm at First Colony has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 1 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Paradigm at First Colony located?

Paradigm at First Colony is located at 4710 Lexington Blvd, Missouri City, TX, 77459 in Fort Bend County, and CMS lists 150 certified beds.

Does Paradigm at First Colony have federal penalties or payment denials on record?

The CMS data includes $211,113 in federal fine amounts and 0 payment-denial records for Paradigm at First Colony over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Paradigm at First Colony's rating compare to nearby facilities?

Paradigm at First Colony's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 2.67 across 15 facilities in Fort Bend County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Paradigm at First Colony's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Paradigm at First Colony's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
455812
Ownership type
For profit - Limited Liability company
Certified beds
150
Data snapshot
2026-07-17
All 41 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Mar 18, 20260677DComplaintDeficient, Provider has date of correctionMar 25, 2026
Dec 1, 20250551DComplaintDeficient, Provider has date of correctionDec 15, 2025
Nov 14, 20250558DComplaintDeficient, Provider has date of correctionDec 11, 2025
Sep 8, 20250610EComplaintDeficient, Provider has date of correctionSep 23, 2025
Jun 1, 20250755DComplaintDeficient, Provider has date of correctionJun 5, 2025
Nov 27, 20240684KComplaintDeficient, Provider has date of correctionDec 4, 2024
Nov 27, 20240689KComplaintDeficient, Provider has date of correctionDec 4, 2024
Nov 19, 20240583CComplaintDeficient, Provider has date of correctionNov 20, 2024
Nov 19, 20240732CComplaintDeficient, Provider has date of correctionNov 20, 2024
Oct 24, 20240550DComplaintDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240607DComplaintDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240609DComplaintDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240655DStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240686DStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240690DStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240759EStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240812FStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240814CStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240880DStandardDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240656EComplaintDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240694KComplaintDeficient, Provider has date of correctionOct 31, 2024
Oct 24, 20240695DComplaintDeficient, Provider has date of correctionOct 31, 2024
Aug 21, 20240842DComplaintDeficient, Provider has date of correctionAug 28, 2024
Jul 25, 20240842DComplaintDeficient, Provider has date of correctionAug 12, 2024
Jul 25, 20240919DComplaintDeficient, Provider has date of correctionAug 12, 2024
Showing the 25 most recent of 41 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.